Stephanie Nichole Gonzalez
Individual provider Active NPI Pediatric Nurse Practitioner · Linthicum Heights, MD
NPI 1992378053 · NPPES record last updated Apr 18, 2024
Key facts
- NPI
- 1992378053
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- R204398 (MD)
- Practice address
- 605 Global Way
Linthicum Heights, MD 21090-2222 - Phone
- (410) 789-7337
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R204398 | MD | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- stephanie.harwell.2@26214.direct.athenahealth.com
- stephanie.harwell.1@7466.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R204398 | MD | Yes |
Addresses
Primary practice location
605 Global Way
Linthicum Heights, MD 21090-2222
Mailing address
105 Amesbury CT
Severna Park, MD 21146-1222
Phone (410) 440-5043
Other providers in Linthicum Heights, MD
- Maureen Fritz
- Phillip Fulcher
- Jada Gaskins
- Celeste Briana Gibson
- Usha Gollapalli
- Demyle Hanna
- Carly Nicole Harvey
- Hill-Rom Company Inc
- Kiara Hopson
- Mikayla Hundley
All providers in Linthicum Heights, MD · Pediatric Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.